Individual
EDGARDO MONTES ZETINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4 COMMERCE LN, CANTON, NY 13617-3739
(315) 386-8191
Mailing address
PO BOX 3835, SEATTLE, WA 98124-3835
(206) 548-3114
(206) 762-6355
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063860
NY
390200000X
Student in an Organized Health Care Education/Training Program
RR60865273
WA
Other
Enumeration date
07/06/2018
Last updated
11/25/2024
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